Professional Documents
Culture Documents
Corona Cavach Policy Wordings
Corona Cavach Policy Wordings
3.2 AYUSH Treatment refers to hospitalisation treatments 3.9 Emergency Care: Emergency care means management for an
given under Ayurveda, Yoga and Naturopathy, Unani, Siddha and illness or injury which results in symptoms which occur suddenly and
Product Name: Corona Kavach Pol
Homeopathy systems. unexpectedly, and requires immediate care by a medical practitioner
to prevent death or serious long term impairment
Max Bupa ofHealth
the insured
Insurance Co. Lt
3.3 An AYUSH Hospital is a healthcare facility wherein medical/ person’s health.
Product UIN: xxxxx
surgical/para-surgical treatment procedures and interventions are
carried out by AYUSH Medical Practitioner(s) comprising of any of 3.10 Family means, the Family that consists of the proposer and any
the following : one or more of the family members as mentioned below:
a. Central or State Government AYUSH Hospital or a. Legally wedded spouse.
b. Teaching hospital attached to AYUSH College recognized by the b. Parents and Parents-in-law.
Central Government/Central Council of Indian Medicine/Central c. Dependent Children (i.e. natural or legally adopted) between
Council for Homeopathy; or the day 1 of age to 25 years. If the child above 18 years of age is
c. AYUSH Hospital, standalone or co-located with in-patient financially independent, he or she shall be ineligible for coverage.
healthcare facility of any recognized system of medicine,
registered with the local authorities, wherever applicable, and 3.11 Health care worker for the purpose of this policy shall
is under the supervision of a qualified registered AYUSH Medical mean doctors, nurses, midwives, dental practitioners and other
Practitioner and must comply with all the following criterion: health professionals including laboratory assistants, pharmacists,
i. Having at least 5 in-patient beds; physiotherapists, technicians and people working in hospitals.
ii. Having qualified AYUSH Medical Practitioner in charge round
the clock; 3.12 Home Care Treatment means treatment availed by the
iii. Having dedicated AYUSH therapy sections as required Insured Person at home for Covid on positive diagnosis of Covid in a
and/or has equipped operation theatre where surgical Government authorized diagnostic Centre, which in normal course
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
such hospitalisation/home care treatment is admissible by the a. Room Rent, Boarding, Nursing Expenses as provided by the
Insurance Company. Hospital/ Nursing Home.
b. Intensive Care Unit (ICU) / Intensive Cardiac Care Unit (ICCU)
3.29 Policy means these Policy wordings, the Policy Schedule and expenses.
any applicable endorsements or extensions attaching to or forming c. Surgeon, Anesthetist , Medical Practitioner , Consultants,
part thereof. The Policy contains details of the extent of cover Specialist Fees whether paid directly to the treating doctor /
available to the Insured person, what is excluded from the cover and surgeon or to the hospital
the terms & conditions on which the Policy is issued to the Insured d. Anesthesia, blood, oxygen, operation theatre charges, surgical
person. appliances, ventilator charges, medicines and drugs, costs
towards diagnostics, diagnostic imaging modalities, PPE Kit,
3.30 Policy period means period of three and half months (3 ½ gloves, mask and such similar other expenses.
months), six and half months (6 ½ months), nine and half months e. Road Ambulance subject to a maximum of Rs. 2000/- per
(9 ½ months) as mentioned in the schedule for which the policy is hospitalization for the Ambulance services offered by a Hospital
issued. or by an Ambulance service provider, provided that the
ambulance is availed only in relation to Covid Hospitalization
3.31 Policy Schedule means the Policy Schedule attached to and for which the Company has accepted a claim under section. This
forming part of Policy. also includes the cost of the transportation of the Insured Person
from a Hospital to the another Hospital as prescribed by a Medial
3.32 Qualified Nurse means a person who holds a valid registration Practitioner
from the Nursing Council of India or the Nursing Council of any state Note:
in India. 1. Expenses of Hospitalization for a minimum period of 24
consecutive hours only shall be admissible.
3.33 Room Rent means the amount charged by a hospital towards
Room and Boarding expenses and shall include the associated 4.2 Home Care Treatment Expenses
medical expenses. Home Care Treatment means treatment availed by the Insured
Person at home for Covid on positive diagnosis of Covid in a
Government authorized diagnostic Centre, which in normal course
3.34 Sub-limit means a cost sharing requirement under a health
would require care and treatment at a hospital but is actually taken
insurance policy in which an insurer wouId not be Iiable to pay any
at home maximum up to 14 days per incident provided that:
amount in excess of the pre-defined Iimit.
a. The Medical practitioner advices the Insured person to undergo
3.35 Sum Insured means the pre-defined limit specified in the treatment at home.
Policy Schedule. Sum Insured represents the maximum, total and b. There is a continuous active line of treatment with monitoring of
Cumulative liability for any and all claims made under the Policy, in the health status by a medical practitioner for each day through
respect of that Insured Person (on Individual basis) or all Insured the duration of the home care treatment.
Persons (on Floater basis) during the Policy Year. c. Daily monitoring chart including records of treatment
administered duly signed by the treating doctor is maintained.
3.36 Surgery or Surgical Procedure means manual and/or operative d. Insured shall be permitted to avail the services as prescribed by
procedure(s) required for treatment of an illness or injury, the medical practitioner. Cashless or reimbursement facility shall
correction of deformities and defects, diagnosis and cure of be offered under homecare expenses subject to claim settlement
diseases, relief of suffering and prolongation of life, performed in a policy disclosed in the website.
Product Name: Corona Kavach Pol
hospital or day care centre by a medical practitioner. e. In case the insured intends to avail the services of non-network
provider claim shall be subject to reimbursement, a priorInsurance
Max Bupa Health approval Co. Lt
3.37 Third Party Administrator (TPA) means a Company registered from the Insurer needs to be taken before availing such services.
Product UIN: xxxxx
with the Authority, and engaged by an insurer, for a fee or by
whatever name called and as may be mentioned in the health In this benefit, the following shall be covered if prescribed by the
services agreement, for providing health services. treating medical practitioner and is related to treatment of COVID,
3.38 Waiting Period means a period from the inception of this a. Diagnostic tests undergone at home or at diagnostics centre
Policy during which Covid is not covered. b. Medicines prescribed in writing
c. Consultation charges of the medical practitioner
4. BASE COVER d. Nursing charges related to medical staff
The covers listed below is in-built Policy benefits and shall be available to all e. Medical procedures limited to parenteral administration of
Insured Persons in accordance with the procedures set out in this Policy . medicines
f. Cost of Pulse oximeter, Oxygen cylinder and Nebulizer
4.1 Covid Hospitalization Cover:
The Company shall indemnify medical expenses incurred for 4.3 AYUSH Treatment
Hospitalization of the Insured Person during the Policy period for The Company shall indemnify medical expenses incurred for inpatient
the treatment of Covid on Positive diagnosis of Covid in a government care treatment for Covid on Positive diagnosis of COVID test in a
authorized diagnostic centre including the expenses incurred on government authorized diagnostic centre including the expenses
treatment of any comorbidity along with the treatment for Covid up incurred on treatment of any comorbidity along with the treatment
to the Sum Insured specified in the policy schedule, for for Covid under Ayurveda, Yoga and Naturopathy, Unani, Siddha and
Homeopathy systems of medicines during the Policy Period up to the
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
Iimit of sum insured as specified in the policy schedule in any AYUSH a. Custodial care either at home or in a nursing facility for personal
Hospital. care such as help with activities of daily living such as bathing,
Covered expenses shall be as specified under Covid Hospitalization dressing, moving around either by skilled nurses or assistant or
Expenses (Section 4.1) non-skilled persons.
b. Any services for people who are terminally ill to address physical,
4.4 Pre Hospitalization social, emotional and spiritual needs
The company shall indemnify pre-hospitalization/home care treatment
medical expenses incurred, related to an admissible hospitalization/ 7.3 Dietary supplements and substances that can be purchased
home care treatment, for a fixed period of 15 days prior to the date without prescription, including but not limited to Vitamins,
of admissible hospitalization/home care treatment covered under the minerals and organic substances unless prescribed by a medical
policy. practitioner as part of hospitalization claim or Home care treatment.
The total amount payable in respect to Covers 4.1, 4.2, 4.3, 4.4, 4.5, 8.1 Procedure for Cashless claims:
5.1, shall not exceed 100% of the Sum Insured during a policy period. i. Treatment may be taken in a network provider and is subject to
pre authorization by the Company or its authorized TPA.
6. WAITING PERIOD ii. Cashless request form available with theName:
Product network provider
Corona Kavach Pol
The Company shall not be liable to make any payment under the policy and TPA shall be completed and sent to the Company/TPA for
in connection with or in respect of following expenses till the expiry of authorization. Max Bupa Health Insurance Co. Lt
waiting period mentioned below: iii. The Company/ TPA upon getting cashless request form and related
Product UIN: xxxxx
medical information from the insured person/ network provider
6.1 First Fifteen Days Waiting Period will issue pre-authorization letter to the hospital after verification.
Expenses related to the treatment of Covid within 15 days from the iv. At the time of discharge, the insured person has to verify and
policy commencement date shall be excluded. sign the discharge papers, pay for non-medical and inadmissible
expenses.
7. EXCLUSIONS v. The Company / TPA reserves the right to deny pre-authorization in
The Company shall not be liable to make any payment under the policy, case the insured person is unable to provide the relevant medical
in respect of any expenses incurred in connection with or in respect of: details.
vi. In case of denial of cashless access, the insured person may obtain
the treatment as per treating doctor’s advice and submit the claim
7.1 Investigation & Evaluation (Code- Excl04) documents to the Company / TPA for reimbursement.
Expenses related to any admission primarily for diagnostics and
evaluation purposes. Any diagnostic expenses which are not related 8.2 Procedure for reimbursement of claims:
or not incidental to the current diagnosis and treatment. For reimbursement of claims the insured person may submit the
necessary documents to TPA (if applicable)/ Company within the
7.2 Rest Cure, rehabilitation and respite care (Code- Excl05) prescribed time limit as specified hereunder.
Expenses related to any admission primarily for enforced bed
rest and not for receiving treatment. This also includes:
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
S. No. Type of claim Prescribed Time Limit
1 Reimbursement of hospitalization, and pre-hospitalization expenses Within thirty days of date of discharge from
Hospital
2 Reimbursement of post hospitalization expenses Within fifteen days from completion of
post hospitalization treatment
3 Reimbursement of Home Care Treatment Within thirty days from completion of home care treatment
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
Note: inspect such records. The Policyholder or Insured Person shall furnish
1. The company shall only accept bills/invoices/medical treatment such information as the Company may require for settlement of any
related documents only in the Insured Person’s name for whom claim under the Policy, within reasonable time limit and within the
the claim is submitted. time limit specified in the Policy.
2. In the event of a claim lodged under the Policy and the original
documents having been submitted to any other insurer, the 9.4 Complete Discharge
Company shall accept the copy of the documents and claim Any payment to the policyholder, insured person or his/ her nominees
settlement advice, duly certified by the other insurer subject to or his/ her legal representative or assignee or to the Hospital, as the
satisfaction of the Company. case may be, for any benefit under the policy shall be a valid discharge
3. Any delay in notification or submission may be condoned on towards payment of claim by the Company to the extent of that
merit where delay is proved to be for reasons beyond the control amount for the particular claim.
of the Insured Person.
9.5 Notice and Communication
8.5 Claim Settlement (provision for Penal Interest) a. Any notice, direction, instruction or any other communication
a. The Company shall settle or reject a claim, as the case may related to the Policy should be made in writing.
be, within 30 days from the date of receipt of last necessary b. Such communication shall be sent to the address of the Company
document. or through any other electronic modes specified in the Policy
b. In the case of delay in the payment of a claim, the Company shall Schedule.
be liable to pay interest from the date of receipt of last necessary c. The Company shall communicate to the Insured at the address or
document to the date of payment of claim at a rate 2% above the through any other electronic mode mentioned in the schedule.
bank rate.
c. However, where the circumstances of a claim warrant an 9.6 Territorial Limit
investigation in the opinion of the Company, it shall initiate and All medical treatment for the purpose of this insurance will have to be
complete such investigation at the earliest in any case not later taken in India only.
than 30 days from the date of receipt of last necessary document.
In such cases, the Company shall settle the claim within 45 days 9.7 Multiple Policies
from the date of receipt of last necessary document. a. ln case of multiple policies taken by an insured person during a
d. In case of delay beyond stipulated 45 days the company shall period from one or more insurers to indemnify treatment costs,
be liable to pay interest at a rate 2% above the bank rate from the policyholder shall have the right to require a settlement of
the date of receipt of last necessary document to the date of his/her claim in terms of any of his/her policies. ln all such cases
payment of claim. the insurer chosen by the policyholder shall be obliged to settle
the claim as long as the claim is within the limits of and according
8.6 Services Offered by TPA to the terms of the chosen policy.
Servicing of claims, i.e., claim admissions and assessments, under this b. Policy Holder having multiple policies shall also have the right
Policy by way of pre-authorization of cashless treatment or processing to prefer claims under this policy for the amounts disallowed
of claims other than cashless claims or both, as per the underlying under any other policy / policies even if the sum insured is not
terms and conditions of the policy. exhausted. Then the insurer (s) shall independently settle the
The services offered by a TPA shall not include claim subject to the terms and conditions of this policy.
a. Claim settlement and claim rejection, c. lf the amount to be claimed exceeds the sum insured under a
b. Any services directly to any insured person or to any other single policy, the policyholder shall have the right to choose
person unless such services is in accordance with the terms and insurer from whom he/she wants to claim the balance amount.
Product Name: Corona Kavach Pol
conditions of the Agreement entered into with the Company d. Where an insured person has policies from more than one insurer
to cover the same risk on indemnity Maxbasis,Bupa
the policyholder shall Co. Lt
Health Insurance
8.7 Payment of Claim only be indemnified the hospitalization costs in accordance with
All claims under the policy shall be paid in Indian currency only. the terms and conditions of the chosen policy.Product UIN: xxxxx
9.2 Condition Precedent to Admission of Liability Any amount already paid against claims made under this policy but
The terms and conditions of the policy must be fulfilled by the insured which are found fraudulent later under this policy shall be repaid by all
person for the Company to make any payment for claim(s) arising recipient(s)/policyholder(s), who has made that particular claim, who
under the policy. shall be jointly and severally liable for such repayment.
9.3 Records to be Maintained For the purpose of this clause, the expression “fraud” means any of
The Insured person shall keep an accurate record containing all relevant the following acts committed by the insured person or by his agent or
medical records and shall allow the Company or its representatives to the hospital/doctor/any other party, with intent to deceive the insurer
or to induce the insurer to issue an insurance policy:
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
a. the suggestion, as a fact of that which is not true and which the 9.13 Endorsements (Changes in Policy)
insured person does not believe to be true; a. This policy constitutes the complete contract of insurance. This
b. the active concealment of a fact by the insured person having Policy cannot be modified by anyone (including an insurance
knowledge or belief of the fact; agent or broker) except the company. Any change made by the
c. any other act fitted to deceive; company shall be evidenced by a written endorsement signed and
d. any such act or omission as the law specially declares to be stamped.
fraudulent b. The policyholder may be changed during the Policy Period only in
case of his/her demise or him/her moving out of India. The new
The Company shall not repudiate the policy on the ground of Fraud, if policyholder must be the legal heir/ immediate family member.
the insured person / beneficiary can prove that the misstatement was Such change would be subject to acceptance by the company and
true to the best of his knowledge and there was no deliberate intention payment of premium (if any).
to suppress the fact or that such misstatement of or suppression of
material fact are within the knowledge of the insurer. 9.14 Terms and conditions of the Policy
The terms and conditions contained herein and in the Policy Schedule
9.9 Cancellation shall be deemed to form part of the Policy and shall be read together
The Company may cancel the policy at any time on grounds of mis- as one document.
representation, non-disclosure of material facts, fraud by the insured
person, by giving 7 days’ written notice. There would be no refund 9.15 Nomination:
of premium on cancellation on grounds of misrepresentation, non- The policyholder is required at the inception of the policy to make a
disclosure of material facts or fraud nomination for the purpose of payment of claims under the policy in
the event of death of the policyholder. Any change of nomination shall
9.10 Automatic change in Coverage under the policy be communicated to the company in writing and such change shall
The coverage for the Insured person(s) shall automatically terminate: be effective only when an endorsement on the policy is made. ln the
event of death of the policyholder, the Company will pay the nominee
In the case of demise. However the cover shall continue for the {as named in the Policy Schedule/Policy Certificate/Endorsement (if
remaining Insured Persons till the end of the Policy Period. All relevant any)} and in case there is no subsisting nominee, to the legal heirs
particulars in respect of such person (including his/her relationship with or legal representatives of the policyholder whose discharge shall be
the insured person) must be submitted to the company along with the treated as full and final discharge of its liability under the policy
application. Provided no claim has been made, and termination takes
place on account of death of the insured person, pro-rata refund of 10. REDRESSAL OF GRIEVANCE
premium of the deceased insured person for the balance period of the ln case of any grievance the insured person may contact the company
policy will be effective. through
Website: www.maxbupa.com
9.11 Territorial Jurisdiction Toll free: 1860-500-8888
All disputes or differences under or in relation to the interpretation E-mail: customercare@maxbupa.com (Senior citizens may write to us
of terms, conditions, validity, construct, limitations and/or exclusions at: seniorcitizensupport@maxbupa.com)
contained in the Policy shall be determined by the Indian Court and Fax : 011-3090-2010
according to Indian law. Courier: Customer Services Department
Max Bupa Health Insurance Company Limited
9.12 Arbitration B-1/I-2, Mohan Cooperative Industrial Estate
a. If any dispute or difference shall arise as to the quantum to be
Mathura Road, New Delhi-110044
paid by the Policy, (liability being otherwise admitted) such
difference shall independently of all other questions, be referred
lnsured person may also approach the grievance cell at any of the
to the decision of a sole arbitrator to be appointed in writing by
company’s branches with the details of grievance
the parties here to or if they cannot agree upon a single arbitrator
lf lnsured person is not satisfied with the redressal of grievance through
within thirty days of any party invoking arbitration, the same
one of the above methods, insured person may contact the grievance
shall be referred to a panel of three arbitrators, comprising two
officer at
arbitrators, one to be appointed by each of the parties to the
Head – Customer Services
dispute/difference and the third arbitrator to be appointed by
such two arbitrators and arbitration shall be conducted under Max Bupa Health Insurance Company Limited
and in accordance with the provisions of the Arbitration and B-1/I-2, Mohan Cooperative Industrial Estate
Conciliation Act 1996, as amended by Arbitration and Conciliation Mathura Road, New Delhi-110044
(Amendment) Act, 2015 (No. 3 of 2016). Customer Helpline No: 1860-500-8888
b. It is clearly agreed and understood that no difference or dispute Fax No.: 011-3090-2010
shall be preferable to arbitration as herein before provided, if Email ID: customercare@maxbupa.com
the Company has disputed or not accepted liability under or in For updated details of grievance officer, kindly refer https://www.
respect of the Policy. maxbupa.com/customer-care/health-services/grievance-redressal.aspx
c. It is hereby expressly stipulated and declared that it shall be a
condition precedent to any right of action or suit upon the policy If the Insured person is not satisfied with the above, they can escalate
that award by such arbitrator/ arbitrators of the amount of to GRO@maxbupa.com.
expenses shall be first obtained.
Grievance may also be lodged at IRDAI lntegrated Grievance
Management System - https://igms. irda.gov. in/
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
Insurance Ombudsman: lf lnsured person is not satisfied with the area/region for redressal of grievance. The contact details of the
redressal of grievance through above methods, the insured person may Insurance Ombudsman offices have been provided as Annexure-B.
also approach the office of lnsurance Ombudsman of the respective
Name Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd.
Product Type Individual/Floater
Category of Benefit Indemnity/Benefit
Sum Insured Rs. 50,000/- (Fifty Thousand) to 5,00,000 (Five Lakh) (in the multiples of fifty thousand)
On Individual basis- SI shall apply to each individual family member
On Floater basis- SI shall apply to the entire family.
Policy Period Three and half months (3 ½ months), Six and half months (6 ½ months), Nine and half months (9 ½ months)
including waiting periods
Eligibility Policy can be availed by persons between the age of 18 Years up to 65 Years, as Proposer. Proposer with
higher age can obtain policy for family, without covering self.
Policy can be availed for Self and the following family members
1. Legally wedded spouse
2. Parents & Parents-in-law
3. Dependent Children (i.e natural or legally adopted) between the day 1 of age to 25 years. If the child
above 18 years of age is financially independent, he or she shall be ineligible.
Hospitalization Expenses Medical Expenses of Hospitalization for Covid for a minimum period of 24 consecutive hours shall be
admissible.
Pre-Hospitalization For 15 days prior to the date of hospitalization/home care treatment
Post Hospitalization 30 days from the date of discharge from the hospital/completion of home care treatment
Sub-limits Hospital Daily Cash: 0.5% of Sum Insured per day subject to maximum of 15 days in a policy period for every
insured member.
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
ANNEXURE A
List I- Items for which coverage is not available in the policy
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
List II- Items that are to be subsumed into Room Charges List III- Items that are to be subsumed into Procedure
Charges
S.No Item S.No Item
1 BABY CHARGES (UNLESS SPECIFIED/INDICATED) 1 HAIR REMOVAL CREAM
2 HAND WASH 2 DISPOSABLES RAZORS CHARGES (for site preparations)
3 CRADLE CHARGES 3 EYE PAD
4 COMB 4 EYE SHEILD
5 EAU-DE-COLOGNE / ROOM FRESHNERS 5 CAMERA COVER
6 GOWN 6 DVD, CD CHARGES
7 SLIPPERS 7 GAUSE SOFT
8 TISSUE PAPER 8 GAUZE
9 TOOTH PASTE 9 WARD AND THEATRE BOOKING CHARGES
10 TOOTH BRUSH 10 ARTHROSCOPY AND ENDOSCOPY INSTRUMENTS
11 BED PAN 11 MICROSCOPE COVER
12 FLEXI MASK 12 SURGICAL BLADES, HARMONICSCALPEL,SHAVER
13 HAND HOLDER 13 SURGICAL DRILL
14 SPUTUM CUP 14 EYE KIT
15 DISINFECTANT LOTIONS 15 EYE DRAPE
16 LUXURY TAX 16 X-RAY FILM
17 HVAC 17 BOYLES APPARATUS CHARGES
18 HOUSE KEEPING CHARGES 18 COTTON
19 AIR CONDITIONER CHARGES 19 COTTON BANDAGE
20 IM IV INJECTION CHARGES 20 SURGICAL TAPE
21 CLEAN SHEET 21 APRON
22 BLANKET/WARMER BLANKET 22 TORNIQUET
23 ADMISSION KIT 23 ORTHOBUNDLE, GYNAEC BUNDLE
24 DIABETIC CHART CHARGES
25 DOCUMENTATION CHARGES / ADMINISTRATIVE
Product Name: Corona Kavach Pol
EXPENSES
26 DISCHARGE PROCEDURE CHARGES Max Bupa Health Insurance Co. Lt
27 DAILY CHART CHARGES Product UIN: xxxxx
28 ENTRANCE PASS / VISITORS PASS CHARGES
29 EXPENSES RELATED TO PRESCRIPTION ON DISCHARGE
30 FILE OPENING CHARGES
31 INCIDENTAL EXPENSES / MISC. CHARGES (NOT
EXPLAINED)
32 PATIENT IDENTIFICATION BAND / NAME TAG
33 PULSEOXYMETER CHARGES
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
List IV- Items that are to be subsumed into costs of treatment
S.No Item
1 ADMISSION/REGISTRATION CHARGES
2 HOSPITALISATION FOR EVALUATION/ DIAGNOSTIC
PURPOSE
3 URINE CONTAINER
4 BLOOD RESERVATION CHARGES AND ANTE NATAL
BOOKING CHARGES
5 BIPAP MACHINE
6 CPAP/ CAPD EQUIPMENTS
7 INFUSION PUMP– COST
8 HYDROGEN PEROXIDE\SPIRIT\ DISINFECTANTS ETC
9 NUTRITION PLANNING CHARGES - DIETICIAN CHARGES-
DIET CHARGES
10 HIV KIT
11 ANTISEPTIC MOUTHWASH
12 LOZENGES
13 MOUTH PAINT
14 VACCINATION CHARGES
15 ALCOHOL SWABES
16 SCRUB SOLUTION/STERILLIUM
17 GLUCOMETER & STRIPS
18 URINE BAG
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
ANNEXURE-B
Contact details of the Insurance Ombudsman Offices are as below
Office of the Name of the Contact Details Areas of Jurisdiction
Ombudsman Ombudsman
AHMEDABAD Shri. Kuldip Singh Office of the Insurance Ombudsman, Gujarat, UT of Dadra & Nagar Haveli, Daman and
Jeevan Prakash Building, 6th floor, Diu.
Tilak Marg, Relief Road,
Ahmedabad – 380 001.
Tel.: 079 - 25501201/02/05/06
Email: bimalokpal.ahmedabad@ecoi.co.in
BENGALURU Smt. Neerja Shah Office of the Insurance Ombudsman, Karnataka
Jeevan Soudha Building,PID No. 57-27-N-19
Ground Floor, 19/19, 24th Main Road,
JP Nagar, 1st Phase,
Bengaluru – 560 078.
Tel.: 080 - 26652048 / 26652049
Email: bimalokpal.bengaluru@ecoi.co.in
BHOPAL Shri Guru Saran Office of the Insurance Ombudsman, Madhya Pradesh & Chhattisgarh
Shrivastava Janak Vihar Complex,
2nd Floor, 6, Malviya Nagar,
Opp. Airtel Office, Near New Market,
Bhopal-462 003.
Tel.:- 0755-2769201/2769202
Fax : 0755-2769203
Email: bimalokpal.bhopal@ecoi.co.in
BHUBANESHWAR Shri Suresh Office of the Insurance Ombudsman, Orissa
Chandra Panda 62, Forest park
Bhubneshwar – 751 009.
Tel.: 0674 - 2596461 /2596455
Fax: 0674 - 2596429
Email: bimalokpal.bhubaneswar@ecoi.co.in
CHANDIGARH Dr. Dinesh Kumar Office of the Insurance Ombudsman, Punjab , Haryana, Himachal Pradesh, Jammu &
Verma S.C.O. No. 101, 102 & 103, 2nd Floor, Kashmir , UT of Chandigarh
Batra Building, Sector 17 – D,
Chandigarh – 160 017.
Tel.: 0172 - 2706196 / 2706468 Product Name: Corona Kavach Pol
Fax: 0172 - 2708274
Max Bupa Health Insurance Co. Lt
Email: bimalokpal.chandigarh@ecoi.co.in
Product UIN: xxxxx
CHENNAI Shri M. Vasantha Office of the Insurance Ombudsman, Tamil Nadu, UT-Pondicherry Town and Karaikal
Krishna Fatima Akhtar Court, 4th Floor, 453, (which are part of UT of Pondicherry)
Anna Salai, Teynampet,
CHENNAI – 600 018.
Tel.: 044 - 24333668 / 24335284
Fax: 044 - 24333664
Email: bimalokpal.chennai@ecoi.co.in
DELHI Shri Sudhir Krishna Office of the Insurance Ombudsman, Delhi
2/2 A, Universal Insurance Building,
Asaf Ali Road,
New Delhi – 110 002.
Tel.: 011 - 23232481 / 23213504
Email: bimalokpal.delhi@ecoi.co.in
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
Office of the Name of the Contact Details Areas of Jurisdiction
Ombudsman Ombudsman
GUWAHATI Shri Kiriti .B. Saha Office of the Insurance Ombudsman, Assam , Meghalaya, Manipur, Mizoram,
Jeevan Nivesh, 5th Floor, Arunachal Pradesh, Nagaland and Tripura
Nr. Panbazar over bridge, S.S. Road,
Guwahati – 781001(ASSAM).
Tel.: 0361 - 2632204 / 2602205
Fax: 0361 - 2732937
Email: bimalokpal.guwahati@ecoi.co.in
HYDERABAD Shri I. Suresh Babu Office of the Insurance Ombudsman, Andhra Pradesh, Telangana, UT of Yanam and
6-2-46, 1st floor, “Moin Court”, part of UT of Pondicherry
Lane Opp. Saleem Function Palace,
A. C. Guards, Lakdi-Ka-Pool,
Hyderabad - 500 004.
Tel.: 040 - 67504123 / 23312122
Fax: 040 - 23376599
Email: bimalokpal.hyderabad@ecoi.co.in
JAIPUR Smt. Sandhya Office of the Insurance Ombudsman, Rajasthan
Baliga Jeevan Nidhi – II Bldg., Gr. Floor,
Bhawani Singh Marg,
Jaipur - 302 005.
Tel.: 0141 - 2740363
Email: bimalokpal.jaipur@ecoi.co.in
ERNAKULAM Ms. Poonam Bodra Office of the Insurance Ombudsman, Kerala, UT of (a) Lakshadweep, (b) Mahe- a part
2nd Floor, Pulinat Bldg., of UT of Pondicherry.
Opp. Cochin Shipyard, M. G. Road,
Ernakulam - 682 015.
Tel.: 0484 - 2358759 / 2359338
Fax: 0484 - 2359336
Email: bimalokpal.ernakulam@ecoi.co.in
KOLKATA Shri. P.K.Rath Office of the Insurance Ombudsman, West Bengal, Sikkim, UT of Andaman & Nicobar
Hindustan Bldg. Annexe, 4th Floor, Islands
4, C.R. Avenue,
KOLKATA - 700 072.
Tel.: 033 - 22124339 / 22124340
Fax : 033 - 22124341
Email: bimalokpal.kolkata@ecoi.co.in Product Name: Corona Kavach Pol
LUCKNOW Shri Justice Anil Office of the Insurance Ombudsman, Districts of Uttar Pradesh:
Max Bupa Health Insurance Co. Lt
Kumar Srivastava 6th Floor, Jeevan Bhawan, Phase-II, Laitpur, Jhansi, Mahoba, Hamirpur, Banda,
Product UIN: xxxxx
Nawal Kishore Road, Hazratganj, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra,
Lucknow - 226 001. Fatehpur, Pratapgarh, Jaunpur,Varanasi, Gazipur,
Tel.: 0522 - 2231330 / 2231331 Jalaun, Kanpur, Lucknow, Unnao, Sitapur,
Fax: 0522 - 2231310 Lakhimpur, Bahraich, Barabanki, Raebareli,
Email: bimalokpal.lucknow@ecoi.co.in Sravasti, Gonda, Faizabad, Amethi, Kaushambi,
Balrampur, Basti, Ambedkarnagar, Sultanpur,
Maharajgang, Santkabirnagar, Azamgarh,
Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur,
Chandauli, Ballia, Sidharathnagar.
MUMBAI Shri Milind A. Office of the Insurance Ombudsman, Goa, Mumbai metropolitan region excluding Navi
Kharat 3rd Floor, Jeevan Seva Annexe, Mumbai & Thane
S. V. Road, Santacruz (W),
Mumbai - 400 054.
Tel.: 022 - 26106552 / 26106960
Fax: 022 - 26106052
Email: bimalokpal.mumbai@ecoi.co.in
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021
Office of the Name of the Contact Details Areas of Jurisdiction
Ombudsman Ombudsman
NOIDA Shri Chandra Office of the Insurance Ombudsman, State of Uttaranchal and the following Districts of
Shekhar Prasad Bhagwan Sahai Palace Uttar Pradesh:
4th Floor, Main Road, Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun,
Naya Bans, Sector 15 Bulandshehar, Etah, Kanooj, Mainpuri, Mathura,
Distt: Gautam Budh Nagar, Meerut, Moradabad, Muzaffarnagar, Oraiyya,
UP – 201301 Pilibhit, Etawah, Farrukhabad, Firozbad,
Tel: 0120-2514250/2514252/2514253 Gautambodhanagar, Ghaziabad, Hardoi,
Email: bimalokpal.noida@ecoi.co.in Shahjahanpur, Hapur, Shamli, Rampur, Kashganj,
Sambhal, Amroha, Hathras, Kanshiramnagar,
Saharanpur.
PATNA Shri N.K.Singh Office of the Insurance Ombudsman, Bihar,
1st Floor, Kalpana Arcade Building, Jharkhand.
Bazar Samiti Road,
Bahadurpur,
Patna 800006
Tel: 0612-2680952
Email: bimalokpal.patna@ecoi.co.in
PUNE Shri Vinay Sah Office of the Insurance Ombudsman, Maharashtra,
Jeevan Darshan Bldg., 3rd Floor, Area of Navi Mumbai and Thane
C.T.S. No.s. 195 to 198, excluding Mumbai Metropolitan Region.
N.C. Kelkar Road, Narayan Peth,
Pune – 411 030.
Tel.: 020-41312555
Email: bimalokpal.pune@ecoi.co.in
Product Name: Corona Kavach Policy, Max Bupa Health Insurance Co. Ltd. | Product UIN: MAXHLIP21072V012021